| Code | Description | Total Paid |
| 70553 |
Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences |
$350K |
| T1015 |
Clinic visit/encounter, all-inclusive |
$251K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
$210K |
| 76816 |
Ultrasound, pregnant uterus, real time with image documentation, follow-up |
$176K |
| 88305 |
Level IV - Surgical pathology, gross and microscopic examination |
$127K |
| 71045 |
Radiologic examination, chest; single view |
$104K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
$103K |
| 76811 |
Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed |
$99K |
| 70450 |
Computed tomography, head or brain; without contrast material |
$88K |
| 70496 |
|
$52K |